[The clinical significance of insomnia in chronic headache].

Q3 Medicine

Zhurnal Nevrologii I Psikhiatrii Imeni S S Korsakova Pub Date : 2024-01-01 DOI:10.17116/jnevro2024124052105

E A Korabelnikova, V D Tkachenko

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引用次数: 0

Abstract

Objective: To study the features of the manifestation of insomnia and its impact on the condition and quality of life in patients with chronic tension-type headache.

Material and methods: The study included 65 patients with chronic tension-type headache and insomnia. Patients filled out questionnaires on headache severity, sleep quality, emotional status and quality of life. Seventeen patients underwent polysomnography.

Results: Patients with more severe insomnia had significantly more severe anxiety (p<0.001) and depression (p=0.025). Such patients assessed their quality of life worse according to the SF-12 questionnaire (p<0.002) and the Subjective Well-Being Scale (p<0.001), a higher level of central sensitization was observed in patients with more severe insomnia (p<0.001).

Conclusion: The negative impact of insomnia on the condition of patients is not so much an increase in pain as such, but rather its influence on the quality of the emotional state and life in general, as well as an increase in the interdependence and mutual influence of other clinical and psychophysiological manifestations of the disease. Therefore, the clinical significance of insomnia is the deterioration of a person's ability to tolerate pain, which is the main prerequisite for a decrease in quality of life.

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[慢性头痛患者失眠的临床意义]。

目的：研究慢性紧张型头痛患者失眠的表现特征及其对病情和生活质量的影响：研究慢性紧张型头痛患者失眠的表现特征及其对病情和生活质量的影响：研究对象包括 65 名慢性紧张型头痛和失眠患者。患者填写了有关头痛严重程度、睡眠质量、情绪状态和生活质量的问卷。17名患者接受了多导睡眠图检查：结果：失眠严重的患者焦虑程度明显更高（pp=0.025）。根据 SF-12 问卷，这些患者的生活质量更差（ppp=0.025）：失眠对患者病情的负面影响与其说是增加了疼痛本身，不如说是影响了患者的情绪状态和生活质量，并增加了疾病的其他临床和心理生理表现之间的相互依存和相互影响。因此，失眠的临床意义在于患者对疼痛的耐受能力下降，而这正是生活质量下降的主要前提。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Zhurnal Nevrologii I Psikhiatrii Imeni S S Korsakova 医学-精神病学

CiteScore

1.10

自引率

0.00%

发文量

287

审稿时长

3-6 weeks

期刊介绍： Одно из старейших медицинских изданий России, основанное в 1901 году. Создание журнала связано с именами выдающихся деятелей отечественной медицины, вошедших в историю мировой психиатрии и неврологии, – С.С. Корсакова и А.Я. Кожевникова. Широкий диапазон предлагаемых журналом материалов и разнообразие форм их представления привлекают внимание научных работников и врачей, опытных и начинающих медиков, причем не только неврологов и психиатров, но и специалистов смежных областей медицины.